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目的:探讨卵巢子宫内膜异位症的临床特点以及我院治疗此症的临床效果。方法:选取我院自2007年3月至2011年3月五年来收治的51例卵巢子宫内膜异位症患者的临床资料进行回顾性分析,观察我院卵巢子宫内膜异位症患者的治愈率、卵巢功能受损率、卵巢囊肿复发率。结果:51例卵巢子宫内膜异位症患者年龄21~42岁,有人工流产史者例30(58.82%),行剖宫产术者9例、引产6例、置宫内节育器23例。月经改变42例,初潮年龄≤13岁26例(50.98%)。32例临床结合B超得到确诊,确诊率为62.74%,术后有效率为84.62%;卵巢功能受损率为19.23%;卵巢囊肿复发率15.38%。结论:卵巢子宫内膜异位症的发病原因可能与经血逆流及月经频发、体内雌激素高有关;需结合临床表现、B超检查、CA125等情况综合诊断才能提高确诊率;开腹手术治疗此证具有较好的临床效果,但卵巢功能损伤率和卵巢囊肿复发率较高,目前临床上多采取腹腔镜治疗,腹腔镜易进入腹膜后间隙,且具有有放大作用,对辨别病灶具有优势,能够有效降低卵巢功能损伤率和卵巢囊肿复发率。
Objective: To investigate the clinical features of ovarian endometriosis and the clinical effect of treating this disease in our hospital. Methods: The clinical data of 51 patients with ovarian endometriosis admitted to our hospital from March 2007 to March 2011 were retrospectively analyzed to observe the cure of patients with ovarian endometriosis Rate, Ovarian function impairment, ovarian cyst recurrence rate. Results: 51 cases of ovarian endometriosis patients aged 21 to 42 years, with a history of artificial abortion 30 cases (58.82%), cesarean section in 9 cases, abortion 6 cases, IUD 23 cases . Menstrual changes in 42 cases, menarche age ≤13 years in 26 cases (50.98%). 32 cases of clinical diagnosis of B-ultrasound were confirmed, the diagnosis rate was 62.74%, the effective rate was 84.62%; ovarian function was 19.23%; ovarian cyst recurrence rate was 15.38%. Conclusion: The pathogenesis of ovarian endometriosis may be related to menstrual flow and frequent menstruation, and high estrogen in the body. It is necessary to combine the clinical manifestations, B-ultrasound and CA125 to improve the diagnosis rate. The laparotomy This card has a good clinical effect, but the rate of ovarian failure and ovarian cyst recurrence rate is high, the current clinical more laparoscopic treatment, laparoscopic easy to enter the retroperitoneal space, and has the role of amplification, the identification of lesions has the advantage , Can effectively reduce the ovarian function damage rate and ovarian cyst recurrence rate.